guidance on design dignity grants application' (practical session b) by staff from the irish...

Guidance on Grants Application

Purpose of D&D Grants Scheme

• To engage hospital staff in the design process and enable greater ownership of their environment

• To create exemplar end-of-life care facilities in hospitals and set the standard for other hospitals to follow

• To transform the way hospital spaces are designed for people at the end of life

What do we mean by ‘exemplar’?

Careful use of colour, lighting, artwork, acoustics, fabrics, furnishings and planting.

“Something beautiful” as a focal point to the space, such as a piece of artwork, sculpture or if space permits a small garden.

The rooms should be inspiring, places of beauty.

Other factors include:

• Entrances should be welcoming and inviting

• Good light levels are essential

• Views of nature/trees/sky/grass should be maximised wherever possible

• Access to the outside or ideally a garden wherever possible

• Refreshments should be readily available

Staff Engagement is Critical

Members of team could include:

• Strong Team Leader

• Patient Representative(s)

• Ward Manager

• Healthcare Assistant

• Cleaning staff, kitchen staff

• Nurses, doctors, AHPs

• Ward clerk

• Chaplain

• Mortuary Staff

• Infection control staff

• Building managers/ Estates Dept.

• Architect, Interior Designer

• Fundraisers/ Hospital Foundation

• Understand the space

• Bring practical ideas

• Lead local fundraising activities

• Take responsibility for maintenance/upkeep

Exemplar projects likely to be considered

• Family rooms with overnight & refreshment facilities

• Bereavement suites / viewing areas (e.g. within emergency departments)

• Sensory gardens

• Palliative care suites (i.e. inpatient rooms)

• Corridor ‘enclaves’ & seating areas

• Mortuaries refurbishments

Project Design

• Source an architect to design the project

• Where is the best location for such a facility?

• What feeling do we want the space to invoke? … peace, dignity, hope, warmth…

• Are there other needs which should be considered? … dementia, young children

• How can the space be maximised & enhanced? …access to natural light, garden

• Think big – write a wish list

• Refer to the Design & Dignity Stylebook (including Guidelines & Assessment Tools) & www.designanddignity.ie

Funding

• Grants will be used to part-fund projects.

• For smaller projects such as the development of family rooms, hospitals will be expected to fund a minimum of 30% of the total project cost including a contingency budget. This may increase for larger projects such as mortuary refurbishments

• Costs must be inclusive of VAT

• Cost must include a contingency budget of at least 10% • Art work - at least 1% of total project cost

• Fit out – 10% of the overall cost of the project

• Design team fees should be no more than 12.5% of total budget

Estimated project costs

Family room €20,000 - €40,000

Viewing & family suite €45,000

Single in-patient room with en-suite €75,000

Mortuary renovation €120,000

Sensory garden €20,000

Selection Criteria

1. Extent of ‘exemplar’ qualities of project including quality of finishes and other creative/unique features within project – “something beautiful”

2. Service need including numbers of patients/families who’ll benefit from the project

3. Value for money

4. Hospital’s funding contribution (min 30% for smaller projects)

5. Projects incorporated within other building plans will be considered favourably

6. Extent of enabling and capital works required (could impact negatively)

7. Extent to which the project will lead to an improvement in the culture of the hospital regarding end-of-life care for patients and families

8. Other end-of-life care improvements underway in the hospital (including if hospital is a member of the HFH Network)

9. Extent to which the proposed project has gained support from staff and management

10. Extent to which the proposal complies with the Design and Dignity Guidelines

Deadline for submissions

16 September 2016

For informal inquires contact:

Ronan Rose-Roberts info@ronanroseroberts.com

Mary Lovegrove mary.lovegrove@hospicefoundation.ie

Slan Project – New Mortuary Viewing Area

Transforming End of Life Care in the Mater Hospital…….

Refurbishing Family Rooms

Presentation by : Diarmuid Ó Coimín docoimin@mater.ie

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Feedback from Families

My Father was dying and we had to

sit in the main reception area to eat

our food as there was nowhere else open or available.

There was no where we could go and sit and eat in private -

away from the bedside

The room we were told the bad news in was dark and drab, there

was no natural light and it was cluttered.

We were waiting on the corridor to see

our mother who was dying. We felt

exposed. It was like a fish bowl.

Everyone could see we were upset and that someone was dying belonging to us. There was no

privacy

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Room – before refurbishment

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Room before refurbishment…

30

St Brigid’s ward family room

Where do I start ?

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8 refurbished family rooms…on busy wards

53

72

61

9

11

10

2

1

31

15

24

5

2

4

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Hospital Y (n=169)

Hospital X (n=139)

Combined Hospitals (n=308)

Practical supports provided and availability of a family room on the ward

Definitely helpful Helpful to some degree Not helpful Did not receive this Don’t know

“Knowing that our mum may not make it and waiting

in that horrible waiting room outside of ICU added

to our trauma it was cold & uncomfortable, while

we waited for more information on our relative, it

was totally impersonal. It was nothing to do with

staff, care or anything else, we knew mum was

being looked after to the best of there ability”

Our refurbished ICU /HDU waiting room…

We would sincerely like to ‘Thank’ the Irish Hospice

Foundation and the HSE Design and Dignity Grant Scheme for their support.